Managed Care Executives
& Professional Negotiators

Roscoe Managed Care Advisors specializes in helping health care providers manage and optimize their managed care reimbursements and relationships

“Bridging the gap between providers and payors

Improving Net Margins

The Importance of Professional Negotiations

There is no quicker way to improve profitability than to increase the contracted Allowed Amounts in your managed care contracts.

Every dollar increase grows your margin.

4,500 hospital contracts
$ 0 B
Pioneered Home Health managed care strategies
$ 0 B+
Pioneered Behavior Health strategies
$ 0 M
Hospital based staffing contracts
+ 0 K

Contract Negotiations

Incorporate all the various nuances and insights of your specific situation.

Net Revenue Optimization

First Principles: know the market rates for your services and negotiate from a position of strength.

Big Data Analytics

We use advanced technologies to gain insight into the market rates for your services and that of your competitors.

Productive Payor Relationships

Build productive payor relationships and minimize denials and down coding.

Value-based Care Design & Negotiations

Know how to construct and negotiate a value-based relationship with a payor.

No Surprises Act (NSA)

Know how to optimize the Independent Dispute Resolution (IDR) process for your out-of-network scenarios.

Services

Level I – Auditing

    • Inventory and inspect your existing contracts
    • Verify contract rate loading

Level II – Reimbursement Analytics

    • Define your rate continuum by CPT code and payor
    • Deep competitor analysis

Level III – Contract Negotiations

    • Negotiate Terms & Conditions
    • Predictive Modeling
    • Net Revenue Impact Study
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About Us

The Roscoe Advisors Advantage

  • Managed Care executives and professional negotiators with decades of experience and documented performance generating billions in managed care revenues
  • Exclusively represents healthcare providers against managed care organizations
  • Greatly enhance existing managed care resources
  • Expert contract negotiations, including strategic and tactical considerations
  • Our technology sifts over a billion claims a year down to specific geographies, payors, providers, and CPT codes.
  • Deep reimbursement insight creates a detailed competitive rate spectrum for our clients by CPT code and payor
  • Identify termination strategies and potential arbitration and litigation opportunities
  • Value-Based Contracting (VBC) design and negotiation
  • No Surprises Act (NSA) process management and optimization

We can define the competitive Allowed Amount ranges for your services by CPT code and payor.

roscoe
Todd Roscoe, CEO & President

Contact Us

Next Steps

For a no obligation introductory call to see what we can do for your organization, please email our Customer Outreach Department at customeroutreach@roscoeadvisors.com or use the form below to request a formal presentation for your organization.